FIR 1 - INSPECTION REPORT

Permit Holder: Weiser-Brown Operating Company Well Name/No: Works Permit: 38819
Lease Name: Works 14 Sec: 9 Twp: 15S Range 22W
GPS Well Location: Latitude: 33.44643 Longitude: -93.38557 Field: FALCON  
Lease/Tank Battery: Latitude: 0 Longitude: 0 County: NEVADA  
Entrance from nearest 911 address, public street or highway
Status:
Well equipment operational: Equipment plumbed properly: Excess equipment on lease:
Signs: At lease entrance:
At tank battery:
At well:
Signage compliance:

NoTypeConstructionSizeLeaksRemarks
No Vessels Found For This Inspection

Tank Containment:
Dimensions: Length: 0 Width: 0 Diameter: 0 Height: 0 Capacity (bbls): 0
Capacity compliance: Breaches/Erosion: Excessive vegetation present: Compliance agreement:
Containment Conditions: Fluids Present:
Well Site Compressor:
Is it in compliance?
Trash/Debris:
Use as storage area:
Unusual equipment:
Excessive erosion:
If yes to any, explain:
Entry Gate Present:
  Gate locked on arrival:
Gate locked on departure:
Is spill or discharge of drilling, completion or produced fluids present:
 
If yes, did spill or discharge of drilling, completion or produced fluids occur or travel off the well pad:
(If yes, complete FIR 5)
Compliance Summary Remarks:
Well presents with casing and tubing. Flow line is not connected. There is no concrete slab or pumping unit. Well is secured with valves and bull plugs. Well is inactive and shut in.

Inspected by: RONNIE KENNEDY   Date:  2/24/2022 3:25:00 PM
Review for NNC or NOV:
If yes, check one
Ref #: Date: __________
ADEQ referral:
Date of referral:  __________